Proper Procedures to Make Business Permit Changes
|
|
- Jayson Dean
- 8 years ago
- Views:
Transcription
1 Proper Procedures to Make Business Permit Changes Board approval to make changes to a business permit depends upon: A properly completed Application to Make Business Permit Changes accompanied by the appropriate fee. A properly completed pressure seal application accompanied by the appropriate fee. A surety bond in proper business or firm name with terms that expire on March 31, A completed Application to Make Business Permit Changes is only required if a change is being made to the business name, trade status or qualifying licensee of a business for which an active status Business Permit is already in place. A new Application for an Initial Business Permit is required if a Business Permit previously issued is in expired status for more than three (3) years (even if a change is being made to the business name, trade status or qualifying licensee of that business). A completed Application to Reactivate a Business Permit is required if the Business Permit has been expired for less than three (3) years. To ensure expeditious approval, properly executed Applications to Make Business Permit Changes must be received at the Board offices ten (10) business days in advance of the next scheduled monthly meeting of the Board of Examiners of Electrical Contractors. Scheduled meeting dates may be found via the link entitled "Dates" on the home page of the Board's website ( THE APPLICATION must be completed and neatly typewritten or printed. The Licensed Electrical Contractor must sign the application under item number 5. Affidavit "A" must be properly executed and notarized under item number 11. If the person executing Affidavit "A" is other than the Licensed Electrical Contractor, then the Licensed Electrical Contractor must sign and execute Affidavit "B." The paragraph titled "AFFIDAVIT" should be thoroughly read and understood. THE SURETY BOND must be signed by the Licensed Electrical Contractor where "Principal" is designated and the bond number must be inserted where indicated at the top of the form. Both the Principal and the Witness must sign the bond where indicated. THE CERTIFICATE OF GENERAL LIABILITY INSURANCE IN THE MINIMUM AMOUNT OF $300,000 OR BANK LETTER OF CREDIT IN THE MINIMUM AMOUNT OF $300,000 MUST BE ENCLOSED. Be aware that the Certificate of General Liability Insurance must list the as the certificate holder. THE FEDERAL TAX IDENTIFICATION NUMBER must be provided to the Board office. ADDITIONAL NOTARIZED AFFIDAVIT must be provided by the Licensed Electrical Contractor stating that all electrical work contracted by the licensee under the former business name is completed and inspected, or will be completed and inspected, under the new name. THE APPLICANT MUST ENCLOSE A copy of the incorporation papers filed with the State of New Jersey's Division of Revenue/Commercial Recording. If it is more than one year from the date the incorporation papers were filed, please submit a Certificate of Good Standing in lieu of the incorporation papers filed with the State of New Jersey. If assistance is needed in obtaining a Certificate of Good Standing, you may call the State of New Jersey's Division of Revenue/Commercial Recording at Individual proprietors must enclose a copy of the trade-name certificate filed with the County Court House in the county where the business is located.
2 OUT-OF-STATE CORPORATION Must provide a copy of its incorporation papers plus a Certificate of Authority To Do Business in New Jersey filed with the State of New Jersey, Division of Revenue/Commercial Recording. If it is more than one year from the date the Certificate of Authority To Do Business in New Jersey was filed, you must obtain and submit a new Certificate of Authority To Do Business in New Jersey. If assistance in obtaining a Certificate of Authority is needed, you may contact the State of New Jersey's Division of Revenue/ Commercial Recording at ALL FEE PAYMENTS must be made by CERTIFIED CHECK or MONEY ORDER and be payable to the State of New Jersey. RETURN OF PRESSURE SEALS Pressure Seals must be returned to the : When a licensee receives confirmation that a new Business Permit has been issued following submission of an Application to Make Business Permit Changes. As soon as a Business Permit or prerequisite Electrical Contractor s license enters inactive or expired status. Any time the General Liability Insurance or Surety Bond is allowed to lapse or is cancelled for any reason. When a permitted business ceases business operations for any reason. When required by the Board as the result of disciplinary action. Refer to N.J.A.C. 13: for additional details.
3 N.J.A.C 13: Fee Schedule Business Permit Fee Permit Issue Date Total Fee Due Important Note: April 1, March 31, 2016 $75.00 April 1, March 31, 2017 $50.00 April 1, March 31, 2018 $25.00 Following issuance, all Business Permits have an expiration date of March 31, The dates/fees above refer to the date the Business Permit is to take effect. The current triennial renewal period runs from April 1, 2015 through March 31, If this Business Permit application is submitted in the first year of the current triennial renewal period, the application fee is $ If this application is submitted during the second year of the triennial renewal period, the fee is $50.00, and if it is submitted in the third year of the triennial renewal period, the fee is $ Please send a certified check, postal money order or express money order payable to the State of New Jersey and mail it to: P.O. Box Newark, NJ 07101
4 Application to Make Business Permit Changes Please type or print clearly. Date Information that you provide on this application may be subject to public disclosure as required by the Open Public Records Act (OPRA). 1. Name of business 2. Trading as: Individual Limited Liability Company (L.L.C.) Partnership Corporation Franchise Other (Explain) A copy of the trade name certificate must be attached to this application if the business name is other than that of the licensee, or a copy of the incorporation papers filed with the Department of the Treasury, Division of Commercial Recording, must be attached. 3. Federal Tax Identification Number: Internet address: 4. Business address: Street address City State ZIP code 5. Name and license number of the Electrical Contractor who is seeking this permit: Name License number Signature of Electrical Contractor 6. Has this company ever been issued a business permit under any other license number? Yes No If Yes, give the license number: 7. Principal place of business: Street address City State ZIP code Telephone number (include area code) 8. If this application is not being submitted for a corporation, please provide the name and address of each individual, partner, trustee, receiver, executor or other person in whom ownership will be vested. If this application is being submitted for a corporation, please provide the following information. (a) What is the name and address of the registered agent of the corporation? (b) What is the date of incorporation and the location, if other than in New Jersey?
5 (c) If you are filing for a foreign corporation, is it registered to do business in New Jersey? Yes No If Yes, please provide the date of registration in New Jersey. Provide the names of all of the officers and, in addition, the owners of 10% or more of the stock. (d) President (g) Treasurer (e) Vice-President (h) Others (f) Secretary 9. Please enclose a bond. In addition to such other bonds as may otherwise be required, any person engaged in the business of electrical contracting under the provisions of this act shall not undertake to do any electrical work in the State of New Jersey or any political subdivision thereof unless and until he/she shall have entered into bond in favor of the State of New Jersey, in the sum of $1,000.00, executed by a surety company authorized to transact business in the State of New Jersey approved by the Department of Banking and Insurance, and to be conditioned on the faithful performance of the provisions of this act. The board shall, by rule and regulation, provide who shall be eligible to receive the financial protection afforded by said bond. The aforesaid bond shall be for the term of 36 months and must be renewed upon expiration for the ensuing 36 months. (Source: L. 1962, c. 162, 19 as amended by L. 1962, c. 185, 16.) (N.J.S.A. 45:5A-19.) 10. Please enclose a certificate of general liability insurance or a bank letter of credit. Every person who holds a Business Permit for electrical work pursuant to P.L. 1962, c. 162 (C. 45:5A-1 et seq.) shall secure, maintain and file with the board a certificate of general liability insurance in the minimum amount of $300,000 or a bank letter of credit in the minimum amount of $300,000. Affidavit Affidavit A, below, must be executed by the owner, or a partner, as listed in Item 2 of this application or by a principal officer as listed in Item 8 if the business is owned by a corporation. If the person executing Affidavit A is not also the Licensed Electrical Contractor then, in addition, the Licensed Electrical Contractor must execute Affidavit B. Each affidavit must be sworn to before a notary public or other authorized officer. I do solemnly swear and affirm that the answers and statements made in this form are true and correct to the best of my knowledge and belief. Affidavit A (See Item 11 above) Name of Business (If a corporation, please give the exact legal title.) Signature of owner or officer (Check title below) Owner Partner Trustee Receiver Lessee Secretary Executor president Sworn and subscribed to before me this day of, Name of Notary Public (please print) Signature of Notary Public Affidavit B (See Item 11 above) Signed Licensed Electrical Contractor Sworn and subscribed to before me this day of, Name of Notary Public (please print) Signature of Notary Public My commission expires My commission expires Affidavit A must be executed on every application. Notary's Seal To Notary Public: Please make sure that the person taking the oath has read all of Item 11. Corporation Seal (if any) To Notary Public: Please make sure that the person taking the oath has read all of Item 11. Notary's Seal 12. The current triennial renewal period runs from April 1, 2015 through March 31, If this Business Permit application is submitted in the first year of the current triennial renewal period, the application fee is $ If this application is submitted during the second year of the triennial renewal period, the fee is $50.00, and if it is submitted in the third year of the triennial renewal period, the fee is $ Please send a certified check, postal money order or express money order payable to the State of New Jersey and mail it to: P.O. Box Newark, NJ 07101
6 IMPORTANT NOTICE! IMPORTANT NOTICE! Law Requires Every State - Licensed Electrical Contractor Holding A Business Permit To Secure A Pressure Seal Pursuant to N.J.S.A. 45:5A-6, the adopted a rule, N.J.A.C. 13:31-3.3, which requires that a pocket pressure seal be furnished to every State-licensed Electrical Contractor with a Business Permit. The cost of the seal is $25.00 and must be paid for by the Electrical Contractor to whom it is issued. A certified check or money order in the amount of $25.00, payable to State of New Jersey, must be forwarded to this office. Upon receipt of the fee, the pressure seal will be mailed to the address provided by the licensee along with the fee. The seal shall be used exclusively by the State-licensed Electrical Contractor in the conduct of his/her business and must be impressed upon all applications for electrical inspections. No person other than the Electrical Contractor to whom the license and Business Permit shall have been issued by the Board shall have the right to use the pressure seal. Any violation of the provision shall subject first, the person wrongfully using such; and secondly, the licensee who willfully or negligently allows such unlicensed and unauthorized person to use said seal, to such penalties granted to the Board by N.J.S.A. 45:5A-1 et seq. Licensed Electrical Contractors who do not possess a Business Permit are not required to secure a pressure seal. PLEASE TYPE OR PRINT CLEARLY. Signature of Licensee Please Print Name of Licensee Print Name of Company Endorsed by Licensee Print Business Address - Do not use a Post Office Box Number (RETURN THIS LETTER WITH THE LICENSEE'S SIGNATURE AND PAYMENT FOR THE SEAL) License Number
7 Sample Bond Bond No. Know all these men by these present, that we, of the City of County of and State of Principal, and, a Surety company duly authorized to transact business in the State of New Jersey, as Surety, are held and firmly bound unto the State of New Jersey, its municipal successors and assigns, in the just and true sum of ($ ) dollars, lawful money of the United States of America, to which payment well and truly made, we do hereby bind and obligate ourselves, our and each of our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these present. Sealed with our seals and dated this day of, The condition of this obligation is such, that whereas the above bounden Principal, has appeared before the, of the State of New Jersey and has been licensed as a(n) under the provisions of P.L. 1997, c.305, N.J.S.A. 45:23A et seq. and amendments thereto and in consideration of the representations made in the application, the said Principal has been licensed as a(n) in the State of New Jersey and has agreed to comply with the aforesaid statute and amendments that may be adopted by the Board of Examiners of Electrical Contractors. Now therefore, if the said Principal shall truly, properly and satisfactorily perform the duties prescribed for electrical contractors under the terms of the aforesaid act and amendments thereto and comply with the aforesaid statute and amendments that may be made thereto and all rules and regulations which may have been or may be adopted by the, then this obligation to be void, otherwise to be and remain in full force and virtue. The term of this bond is from to. It is mutually understood and agreed between all parties hereto that if the Surety shall so elect, this bond may be cancelled by giving thirty (30) days notice in writing to the said Obligee and this bond shall be deemed cancelled at the expiration of said thirty (30) days, the said Surety remaining liable for all or any act or acts covered by this bond, which may have been committed by the Principal up to the date of such cancellation, under the terms, conditions and provisions of this bond. Signed, sealed and delivered in the presence of By Witness Affix seal here Principal
Instructions Application for a Business License
New Jersey Office of the Attorney General Division of Consumer Affairs Fire Alarm, Burglar Alarm and Locksmith Advisory Committee 124 Halsey Street, 6th Floor, Newark, NJ 07102 http://www.njconsumeraffairs.gov/fbl/
More informationINSTRUCTIONS for COMPLETING COLLECTION AGENCY BOND APPLICATIONS
INSTRUCTIONS for COMPLETING COLLECTION AGENCY BOND APPLICATIONS NOTE: This application must be completed by all appropriate signatories simultaneously. New Jersey statutes (N.J.S.A. 45:18 et seq.) dictates
More informationALL LOAN BROKERS AND ORIGINATORS DOING BUSINESS IN INDIANA FROM: OFFICE OF SECRETARY OF STATE TODD ROKITA, SECURITIES DIVISION
MEMORANDUM TO: ALL LOAN BROKERS AND ORIGINATORS DOING BUSINESS IN INDIANA FROM: OFFICE OF SECRETARY OF STATE TODD ROKITA, SECURITIES DIVISION RE: LICENSING AND REGISTRATION REQUIREMENTS FOR LOAN BROKERS
More informationNEW JERSEY BOARD OF PUBLIC UTILITIES. ELECTRIC POWER and/or GAS SUPPLIER INITIAL APPLICATION INSTRUCTIONS
NEW JERSEY BOARD OF PUBLIC UTILITIES ELECTRIC POWER and/or GAS SUPPLIER INITIAL APPLICATION INSTRUCTIONS All applications submitted to the New Jersey Board of Public Utilities must be completed and include
More informationInstructions to Apply for Registration as a Health Care Services Firm (N.J.A.C. 13:45B-13.3)
New Jersey Office of the Attorney General Division of Consumer Affairs Office of Consumer Protection Regulated Business Section 124 Halsey Street, 7th Floor, P.O. Box 45028 Newark, NJ 07101 (973) 504-6370
More informationStandardized Forms for Performance Guarantees 5:36-4 STANDARDIZED FORMS FOR PERFORMANCE GUARANTEES
5:36-4 STANDARDIZED FORMS FOR PERFORMANCE GUARANTEES 5:36-4.1 Performance surety bonds The standardized form of performance surety bond required by an approving authority pursuant to section 41 of P.L.
More informationSecretary of State Lincoln, NE 68509 DEBT MANAGEMENT LICENSE APPLICATION Initial Fee: $200.00 Investigation Fee: $200.00
JOHN A. GALE 1305 State Capitol Secretary of State Lincoln, NE 68509 DEBT MANAGEMENT LICENSE APPLICATION Initial Fee: $200.00 Investigation Fee: $200.00 Date of Application Applicant is a: Individual Partnership
More informationState of Oklahoma COUNCIL ON LAW ENFORCEMENT EDUCATION AND TRAINING Private Security Licensing Division
State of Oklahoma COUNCIL ON LAW ENFORCEMENT EDUCATION AND TRAINING Private Security Licensing Division CLEET Private Security Division Ada, Oklahoma 74820-0669 (405) 239-5100 Dear Agency Applicant: Thank
More informationGUARANTY BOND SAMPLE. correspondence school seeks from the State Board of Community Colleges licensure to
Guaranty Bond Page 1 STATE OF NORTH CAROLINA Bond No. COUNTY OF GUARANTY BOND KNOW ALL PERSONS BY THESE PRESENT THAT: WHEREAS, A proprietary business school, or proprietary trade school or proprietary
More informationINFORMATION FOR OCILB CONTRACTOR APPLICATION:
INFORMATION FOR OCILB CONTRACTOR APPLICATION: The following information pertains to registrations issued to: Electrical Plumbing Contractor Steam & Hot Water/Hydronics Contractor Refrigeration Contractor
More informationAPPLICATION FOR PERMIT TO HOLD AMATEUR BOXING EVENT INSTRUCTION SHEET
CANNON BUILDING STATE OF DELAWARE TELEPHONE: (302) 744-4500 861 SILVER LAKE BLVD., SUITE 203 DEPARTMENT OF STATE FAX: (302) 739-2711 DOVER, DELAWARE 19904-2467 DIVISION OF PROFESSIONAL REGULATION WEBSITE:
More informationPAYMENT/PERFORMANCE BOND. This is the front page of the payment/performance bond issued in compliance with Florida Statutes 255.05.
PAYMENT/PERFORMANCE BOND STATE OF ) COUNTY OF ) ss This is the front page of the payment/performance bond issued in compliance with Florida Statutes 255.05. Surety Name: Bond Number: Contractor Name: Owner
More informationHOW TO OBTAIN A NEW CONTRACTOR LICENSE
HOW TO OBTAIN A NEW CONTRACTOR LICENSE These instructions apply to new licenses only. If you wish to add a classification or a qualifying party to an existing license, please see HOW TO ADD A CLASSIFICATION
More informationPerformance Bond. as Principal, (Legal title of the Contractor) (Street, City, State, Zip Code) and as Surety, (Legal title of the Surety)
Performance Bond KNOW ALL PERSONS BY THESE PRESENTS, that we: as Principal, (Legal title of the ) (Street, City, State, Zip Code) and as Surety, (Legal title of the Surety) (Street, City, State, Zip Code)
More informationTHIS RENEWAL IS DUE ON OR BEFORE DECEMBER 1, 2015 DEBT MANAGEMENT ACT 2016 LICENSE RENEWAL CHECKLIST
THIS RENEWAL IS DUE ON OR BEFORE DECEMBER 1, 2015 DEBT MANAGEMENT ACT 2016 LICENSE RENEWAL CHECKLIST RENEWAL APPLICATION COMPLETED AND SIGNED CURRENT CLIENT AGREEMENT SURETY BOND IN THE SUM OF $25,000
More informationDEVELOPMENT INFRASTRUCTURE COMPLETION BOND. Name of Approved Construction Drawings ( Required Infrastructure ):
DEVELOPMENT INFRASTRUCTURE COMPLETION BOND Name of Development (the Project ): Name of Approved Construction Drawings ( Required Infrastructure ): a) Date of Construction Drawing Approval: b) Name of Final
More informationOhio Department of Transportation
Ohio Department of Transportation 1980 West Broad Street, Columbus, Ohio 43223 Office of Contracts February 1, 2008 1525 DITMORE STROLL NEWARK, OH 43055 Re: Project Number 080088 Dear Contractor: This
More informationSOUTH CAROLINA STATE BOARD OF COSMETOLOGY
SOUTH CAROLINA STATE BOARD OF COSMETOLOGY INSTRUCTIONS FOR SCHOOL APPLICATION YOUR APPLICATION PACKET SHOULD INCLUDE: 1. FLOOR PLANS. 2. SURETY BOND. 3. STUDENT CONTRACT. 4. CURRICULUM. 5. CHECK OR MONEY
More informationRONALD WASTEWATER DISTRICT 17505 LINDEN AVENUE NORTH - P.O. BOX 33490 SHORELINE WA 98133-0490 (206) 546-2494
17505 LINDEN AVENUE NORTH - P.O. BOX 33490 SHORELINE WA 98133-0490 (206) 546-2494 APPLICATION FOR SIDE SEWER CONTRACTOR TO WORK FOR RONALD WASTEWATER DISTRICT 1. Firm name: 2. Name of Principals: 3. Name
More informationCOMMONWEALTH OF VIRGINIA STANDARD PERFORMANCE BOND
(Rev 03/02) Page 1 of 6 COMMONWEALTH OF VIRGINIA STANDARD PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That, the Contractor ( Principal ) whose principal place of business is located at and ( Surety
More informationDIVISION OF BANKING 1511 Pontiac Avenue, Bldg. 68-2 Cranston, Rhode Island 02920 UNIFORM DEBT-MANAGEMENT SERVICES ACT BOND
Bond Debt-Management Services Rev. 02/22/11 Bond Number DIVISION OF BANKING 1511 Pontiac Avenue, Bldg. 68-2 Cranston, Rhode Island 02920 UNIFORM DEBT-MANAGEMENT SERVICES ACT BOND WHEREAS application has
More informationARKANSAS APPRAISAL MANAGEMENT COMPANY APPLICATION FOR REGISTRATION
M AMR-1 _ Arkansas Appraiser Licensing and Certification Board : by:_ number:_ Date: ed by: Mailed: ARKANSAS APPRAISAL MANAGEMENT COMPANY APPLICATION REGISTRATION The following information constitutes
More information(Affix Principal s corporate seal.)
STORMWATER FACILITY COMPLETION BOND ( Bond ) Development Name and Site Plan Reference: Date of Site Plan Approval: Name of Principal (Name of Developer): The Principal is organized and existing under the
More informationInitial Application for Debt Management License Attachments and Instructions
FIS 0506 (05/15) Department of Insurance and Financial Services Page 1 of 3 Initial Application for Debt Management License Initial Application for Debt Management License Attachments and Instructions
More informationCONTRACTOR PRE LICENSING COURSE PROVIDER
STATE OF TENNESSEE DEPARTMENT OF COMMERCE AND INSURANCE BOARD FOR LICENSING CONTRACTORS 500 JAMES ROBERTSON PARKWAY NASHVILLE, TENNESSEE 37243 1150 TELEPHONE: 800 544 7693 OR (615) 741 1202 OR FACSIMILE
More informationCITY OF FAIRFAX TELECOMMUNICATION FACILITY BONDING PACKAGE
CITY OF FAIRFAX TELECOMMUNICATION FACILITY BONDING PACKAGE CITY OF FAIRFAX TELECOMMUNICATION FACILITY BONDING PACKAGE CONTENTS Informational Letter City of Fairfax Telecommunications Code, Ordinance &
More informationG U A R A N T Y B O N D
North Carolina State Board of Cosmetic Art Examiners STATE OF NORTH CAROLINA COUNTY OF G U A R A N T Y B O N D KNOW ALL PERSONS BY THESE PRESENTS THAT: WHEREAS, a school or college of beauty culture, or
More informationAppraisal Management Company (AMC)
REAL ESTATE APPRAISER LICENSING AND CERTIFICATION BOARD Appraisal Management Company (AMC) Application Packet July 30, 2013 APPLICATION FOR REGISTRATION OF AN APPRAISAL MANAGEMENT COMPANY INSTRUCTIONS
More informationSewage Sludge Utilization Performance Bond
Sewage Sludge Utilization Performance Bond Total Sum of the Performance Bond (the Bond ) Bond. No. This Bond assures performance for Sewage Sludge Utilization Permit(s) ( Permit for Permits ) No(s). authorizing
More informationNC General Statutes - Chapter 44A Article 3 1
Article 3. Model Payment and Performance Bond. 44A-25. Definitions. Unless the context otherwise requires in this Article: (1) "Claimant" includes any individual, firm, partnership, association or corporation
More informationBuilding Division. Engineering, Planning and Building Department 540 Laird Avenue S.E. Warren, Ohio 44484 Office: (330)841-2916 Fax: (330)841-2614
Building Division Engineering, Planning and Building Department 540 Laird Avenue S.E. Warren, Ohio 44484 Office: (330)841-2916 Fax: (330)841-2614 CONTRACTOR REGISTRATION (Shall be typed or neatly printed)
More informationPERFORMANCE BOND. Surety Bond No. STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF
PERFORMANCE BOND Surety Bond No. STATE OF TEXAS COUNTY OF KNOW ALL MEN BY THESE PRESENTS: That we,, as Principal, and, as Surety, are hereby held and firmly bound unto the State of Texas as Obligee in
More informationKNOW ALL MEN BY THESE PRESENTS, that we, the undersigned,
SURETY BOND KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned, (Contractor's Name) as Principal, and, as Surety, are hereby held and firmly bound into City of Buckeye as OWNER in the penal sum of
More informationAPPLICATION FOR LICENSE FOR INSTALLER / TRANSPORTER OF FACTORY-BUILT HOMES
MISSISSIPPI Insurance Department Office of the State Fire Marshal Factory-Built Home Division Post Office Box 79 Jackson, Mississippi 39205 (601) 359-1061 Phone (601) 359-1076 Fax MAN-3 September 2, 2015
More informationSTATE OF NORTH CAROLINA AGREEMENT COUNTY OF WAKE
SURETY AGREEMENT Instrument prepared by: Raleigh City Attorney's Office Brief Description for Index: Access Agreement Tax Identifier Number: Wake County Courthouse Mail After Recording to: City Clerk's
More informationCONSTRUCTION AGREEMENT FOR
CONSTRUCTION AGREEMENT FOR THIS AGREEMENT, made as of the day of, 20, by and between, a corporation, hereinafter called the Contractor, and Wake County, a body corporate and politic and a political subdivision
More information330-675-2469 BLAKE PETERSON HVAC INSPECTOR. TRUMBULL COUNTY BUILDING INSPECTION DEPT Wean Building. Warren, Ohio 44481
TRUMBULL COUNTY BUILDING INSPECTION DEPT Wean Building Warren, Ohio 44481 330-675-2469 BLAKE PETERSON HVAC INSPECTOR NEW REGISTRATION APPLICATION (HVAC, HY, or RE) 1. All applicants must complete back
More informationRevised January 2011. You must submit with the application the following documentation:
Charlie A. Dooley County Executive Sheryl L. Hodges, D.E., P.E., L.P.G. Director MECHANICAL LICENSING Guidelines for completing the Application for Contractor License Contractor License Categories: Mechanical,
More informationDEBT CONSOLIDATION AGENCY REGISTRATION APPLICATION
DEBT CONSOLIDATION AGENCY REGISTRATION APPLICATION 1. Company information: Name: Physical address: Mailing address: Phone: For profit: Yes No Not-for-profit: Yes No Manager s name (interested parties list,
More informationBOROUGH OF LITTLE SILVER COUNTY OF MONMOUTH STATE OF NEW JERSEY REQUESTS FOR PROPOSAL / QUALIFICATIONS BOROUGH ATTORNEY
BOROUGH OF LITTLE SILVER COUNTY OF MONMOUTH STATE OF NEW JERSEY REQUESTS FOR PROPOSAL / QUALIFICATIONS BOROUGH ATTORNEY Sealed proposals will be received by the Borough Administrator/Clerk of the Borough
More informationINSTRUCTIONS FOR MAKING APPLICATION UNDER PROVISIONS OF THE ILLINOIS ROOFING INDUSTRY LICENSING ACT
INSTRUCTIONS FOR MAKING APPLICATION UNDER PROVISIONS OF THE ILLINOIS ROOFING INDUSTRY LICENSING ACT In order for your application to be processed, ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED
More informationMAINTENANCE AND PERFORMANCE BONDS
MAINTENANCE AND PERFORMANCE BONDS CITY OF AUSTELL MAINTENANCE BOND FOR SUBDIVISION KNOWN ALL MEN BY THESE PRESENTS, that Subdivider,, (hereinafter called the Principal), as Principal and, a corporation
More informationSTATE OF OKLAHOMA WORKERS COMPENSATION COURT 1915 NORTH STILES OKLAHOMA CITY, OKLAHOMA 73105-4904 SURETY BOND OF SELF-INSURER OF WORKERS COMPENSATION
STATE OF OKLAHOMA WORKERS COMPENSATION COURT 1915 NORTH STILES OKLAHOMA CITY, OKLAHOMA 73105-4904 SURETY BOND OF SELF-INSURER OF WORKERS COMPENSATION IN THE MATTER OF THE PERMIT OF ) ) ) S U R E T Y B
More informationSample form not to be used as original
Town Of Ashburnham Planning Board FORM H SURETY AGREEMENT FOR A BOND Sample form not to be used as original This Surety Agreement is entered into this day of, 2 by and between the city/town of, a Massachusetts
More informationPROFESSIONAL ENGINEERS AND LAND SURVEYORS RE: CERTIFICATE OF AUTHORIZATION
Division of Consumer Affairs JON S. CORZINE State Board of Professional Engineers and and Surveyors ANNE MIGRAM Governor 124 Halsey Street, 3 rd Floor, Newark, NJ 07102 Attorney General www.njconsumeraffairs.gov
More informationDUSTIN McDANIEL ATTORNEY GENERAL OFFICE OF THE ATTORNEY GENERAL 323 CENTER STREET, Suite 200 LITTLE ROCK, AR 72201-2610 (501) 682-2007
DUSTIN McDANIEL ATTORNEY GENERAL OFFICE OF THE ATTORNEY GENERAL 323 CENTER STREET, Suite 200 LITTLE ROCK, AR 72201-2610 (501) 682-2007 PAID SOLICITOR APPLICATION FOR REGISTRATION Pursuant to Ark. Code
More informationSALE OF CHECKS,TRANSMISSION OF MONEY LICENSE APPLICATION (Chapter 23, Title 5, Del.C.)
FOR OFFICE USE ONLY: Inv. Fee: Check No: Receipt No: STATE OF DELAWARE OFFICE OF THE STATE BANK COMMISSIONER 555 EAST LOOCKERMAN STREET SUITE 210 DOVER, DELAWARE 19901 SALE OF CHECKS,TRANSMISSION OF MONEY
More informationAll registration forms and communication should be directed to:
INSTRUCTIONS FOR REGISTRATION AS A PROFESSIONAL EMPLOYER ORGANIZATION (As defined in Act 1150 of the 2001 Legislative Session) IN THE STATE OF LOUISIANA GENERAL INSTRUCTIONS This packet is designed to
More informationPAYDAY LENDER LICENSE APPLICATION CHECK LIST
PAYDAY LENDER LICENSE APPLICATION CHECK LIST 1. Application Form 2. A copy of all organization documents required to be filed with the Illinois Secretary of State and a copy of the filing of assumed business
More informationContractor s License & Endorsements
Planning, Development & Transportation Engineering Department 281 North College Avenue P.O. Box 580 Fort Collins, CO 80522.0580 970.221.6605 970.221.6378 - fax fcgov.com/engineering Contractor s License
More informationCONTRACTOR REGISTRATION
CONTRACTOR REGISTRATION Fairfield County Building Department (FCBD) requires contractor registration per County Resolution 06-02.28.f and through the powers granted under the Ohio Revised Code. This includes
More informationINSTRUCTIONS FOR APPLICATION FOR NEW DEALERSHIP
DIVISION OF MOTOR VEHICLES DEALERS LICENSE AND REGULATION OFFICE INSTRUCTIONS FOR APPLICATION FOR NEW DEALERSHIP Instructions for applicants in making first application for dealers license application
More informationREQUIREMENTS FOR PRODUCER CODE
REQUIREMENTS FOR PRODUCER CODE Enclosed are the materials that will enable you to apply for a Maryland Automobile Insurance Fund/Maryland Auto Producer Code. These forms include: Application for Authority
More informationCALIFORNIA TRANSPORTATION COMMISSION DESIGN-BUILD DEMONSTRATION PROGRAM STANDARD FORM OF PAYMENT AND PERFORMANCE BOND
CALIFORNIA TRANSPORTATION COMMISSION WSSED BY DESIGN-BUILD DEMONSTRATION PROGRAM STANDARD FORM OF PAYMENT AND PERFORMANCE BOND FEB 2 4 2010 1.1. WHEREAS the Design-Build Demonstration Program was established
More information(For Department Use Only) TYPE OF APPLICATION
DEPARTMENT OF COMMERCE Division of Financial Institutions 85 7th Place East, Suite 500 St. Paul, Minnesota 55101 (651) 539-1700 CREDIT SERVICES ORGANIZATION REGISTRATION APPLICATION REGISTRATION NUMBER
More informationDEBT MANAGEMENT COMPANY LICENSE APPLICATION
State of Indiana DEPARTMENT OF FINANCIAL INSTITUTIONS 30 South Meridian Street, Suite 300 Indianapolis, Indiana 46204 State Form 50291(R8/10) Approved State Board of Accounts 2001 DEBT MANAGEMENT COMPANY
More informationPREPARATION OF THE PRIVATE LICENSED SCHOOL CONTRACT BOND
PREPARATION OF THE PRIVATE LICENSED SCHOOL CONTRACT BOND Private Licensed School Contract Bonds Contract bonds must be completed in a manner which is acceptable to both the Chief Counsel's Office of the
More informationGeneral Contractor Registration Application Please read and follow these instructions.
General Contractor Registration Application Please read and follow these instructions. Your general contractor registration consists of the following forms: 1. Application Form 2. Bond Form 3. Insurance
More informationRock Island County Raffle License Application Packet
Applicants please take note: Rock Island County Raffle License Application Packet 1. The sale or issuance of raffle chances may be conducted within the following territory of Rock Island County, Illinois
More informationCOLLINGSWOOD BOARD OF EDUCATION 200 LEES AVENUE COLLINGSWOOD, NJ 08108 REQUEST FOR PROPOSAL/EUS
COLLINGSWOOD BOARD OF EDUCATION 200 LEES AVENUE COLLINGSWOOD, NJ 08108 REQUEST FOR PROPOSAL/EUS A. PURPOSE: The Collingswood Board of Education is seeking proposals through the EUS procurement process
More informationSelf-Insurance Package for a Corporation
Self-Insurance Package for a Corporation Bureau of Motor Vehicles Financial Responsibility Section P.O. Box 68674 Harrisburg, PA 17106-8674 Phone: (717) 783-3694 www.dmv.pa.gov PUB 618 (12-15) Preface
More informationBY THIS BOND,, whose principal address is, business phone number is as Principal,hereinafter Contractor, and, whose principal address is
STATUTORY CO-OBLIGEE PAYMENT BOND BOND NO. BY THIS BOND,, whose principal address is, business phone number is as Principal,hereinafter Contractor, and, whose principal address is as Surety, are held and
More informationSECTION 103 - AWARD AND EXECUTION OF CONTRACT
SECTION 103 - AWARD AND EXECUTION OF CONTRACT 103.04 Contract Bonds. The Engineer may make changes in the work or add extra work within the contract scope without notice to the sureties (bonding companies)
More informationSURETY BOND - SAMPLE FORM
FORM-SI-BOND SURETY BOND - SAMPLE FORM OKLAHOMA WORKERS COMPENSATION COMMISSION 1915 N. STILES AVENUE OKLAHOMA CITY, OK 73105 SURETY BOND OF SELF-INSURER OF WORKERS COMPENSATION IN THE MATTER OF THE PERMIT
More informationFIGURE 20 BOND FORMS
KNOW ALL MEN BY THESE PRESENTS: FIGURE 20 BOND FORMS A. PERFORMANCE/WARRANTY BOND THAT [Insert the legal name and address of Contractor for Subdivider/Developer], as Principal, hereinafter called the Contractor,
More informationPayment Bond. as Principal, (Legal title of the Contractor) (Street, City, State, Zip Code) and as Surety, (Legal title of the Surety)
Payment Bond KNOW ALL PERSONS BY THESE PRESENTS, that we: as Principal, (Legal title of the Contractor) (Street, City, State, Zip Code) and as Surety, (Legal title of the Surety) (Street, City, State,
More informationUpon receipt of a letter of intent to award a contract, Bidder shall provide Performance and Payment Bonds as outlined below.
Section 10 - Page 1 of 5 Bonding Requirements Performance Bond and Payment Bond Upon receipt of a letter of intent to award a contract, Bidder shall provide Performance and Payment Bonds as outlined below.
More informationINFORMATION FOR APPLYING FOR A USED MOTOR VEHICLE DEALERS LICENSE
INFORMATION FOR APPLYING FOR A USED MOTOR VEHICLE DEALERS LICENSE The Used Motor Vehicle Division meets six times per year. Please refer to the board meeting schedule on the internet. The website is www.sos.ga.gov/plb/usedcar.
More informationThis page left blank intentionally
ATTACHMENT 13 PERFORMANCE AND PAYMENT BONDS This page left blank intentionally RFP #0606-14 Attachment 13: Payment & Performance Bonds Page 1 of 8 PAYMENT BOND (CALIFORNIA PUBLIC WORK) KNOW ALL MEN BY
More informationCONTRACTORS STATE LICENSE BOARD Blanket Performance and Payment Bond Approved Final Text
CONTRACTORS STATE LICENSE BOARD Blanket Performance and Payment Bond Approved Final Text California Code of Regulations Title 16, Division 8 Article 6. Bonds 858. Blanket Performance and Payment Bond Defined
More informationLABOR & MATERIAL PAYMENT BOND
LABOR & MATERIAL PAYMENT BOND KNOW ALL BY THESE PRESENTS: LABOR & MATERIAL PAYMENT BOND That (Here insert the name and address or legal title of the Contractor) as Principal, hereinafter called Principal,
More informationcorporation with its principal place of business in the City of
TEXAS DEPARTMENT OF INSURANCE Division of Workers Compensation Self-Insurance Regulation MS-60 7551 Metro Center Dr., Ste 100 Austin, Texas 78744-1645 (512) 804-4775 FAX (512) 804-4776 www.tdi.texas.gov
More informationMay 28, 1997. All Title Insurance Companies, Title Insurance Agencies, and Title Insurance Agents Licensed in Virginia
May 28, 1997 Administrative Letter 1997-5 TO: RE: All Title Insurance Companies, Title Insurance Agencies, and Title Insurance Agents Licensed in Virginia Senate Bill No. 1104 (The Consumer Real Estate
More informationINDEMNITIES. Guaranty Agreement and Bond Information
STATE OF TENNESSEE DEPARTMENT OF COMMERCE AND INSURANCE BOARD FOR LICENSING CONTRACTORS Mailing Address: 500 JAMES ROBERTSON PARKWAY NASHVILLE, TENNESSEE 37243-1150 TELEPHONE: 800-544-7693 OR (615) 741-8307
More informationFaithful Performance Bond/Certificate of Deposit Application City of Temecula Planning Department
Faithful Performance Bond/Certificate of Deposit Application City of Temecula Planning Department Planting, Wall and/or Fence Installation Date Stamp Landscape Maintenance Model Home Conversion Sales Trailer
More informationCITY OF BUFFALO PERMIT & INSPECTION SERVICES CITY OF BUFFALO - COLLECTION AGENCY LICENSE
CITY OF BUFFALO PERMIT & INSPECTION SERVICES OFFICE OF LICENSES BYRON W. BROWN Mayor JAMES COMERFORD, Jr. Commissioner CITY OF BUFFALO - COLLECTION AGENCY LICENSE The City of Buffalo, according to Ordinance
More informationcorporation with its principal place of business in the City of
TEXAS DEPARTMENT OF INSURANCE Division of Workers Compensation Self-Insurance Regulation MS-60 7551 Metro Center Dr., Ste 100 Austin, Texas 78744-1645 (512) 804-4775 FAX (512) 804-4776 www.tdi.texas.gov
More informationINSTRUCTIONS FOR APPLICATION FOR LICENSE TO OPERATE ALARM BUSINESS AS DEFINED BY CHAPTER 720, ST. LOUIS COUNTY REVISED ORDINANCES
INSTRUCTIONS FOR APPLICATION FOR LICENSE TO OPERATE ALARM BUSINESS AS DEFINED BY CHAPTER 720, ST. LOUIS COUNTY REVISED ORDINANCES 1. Fill out the attached application. Every question must be answered.
More informationCOLLINGSWOOD BOARD OF EDUCATION 200 LEES AVENUE COLLINGSWOOD, NJ 08108 REQUEST FOR PROPOSAL
COLLINGSWOOD BOARD OF EDUCATION 200 LEES AVENUE COLLINGSWOOD, NJ 08108 REQUEST FOR PROPOSAL A. PURPOSE: The Collingswood Board of Education is seeking proposals from qualified respondents as follows: Board
More informationYear 2015 Contractor License Packet
NEW CASTLE COUNTY Year 2015 Contractor License Packet FOR PERMIT CONTRACTOR ENDORSEMENT HOLDERS DEPARTMENT OF LAND USE 87 READS WAY, NEW CASTLE, DE 19720 PHONE: 302-395-5420 WWW.NCCDELU.ORG Building Contractors:
More informationTHE CORPORATION OF THE CITY OF BURLINGTON D1 - AGREEMENT
Agreement 2006 Page 1 THE CORPORATION OF THE CITY OF BURLINGTON D1 - AGREEMENT THIS AGREEMENT made in triplicate this day of 20 THE CORPORATION OF THE CITY OF BURLINGTON (hereinafter called "the City")
More informationadditional insured. It must also include a 30 day cancellation notice. ** Please read attached instructions for detailed information**
To perform construction in the City s right of way, Contractors must be licensed and bonded. The following documents and fee are required by the City of Fort Worth for licensing and bonding: Original $10,000
More informationPERFORMANCE BOND INSTRUCTIONS (FEB 2015)
PERFORMANCE BOND INSTRUCTIONS (FEB 2015) 1. Introduction a. Procurement Services Division has posted two distinct performance bond forms. One is an indemnity bond. The other is a completion bond. The nature
More informationSection IX. Annex to the Particular Conditions - Contract Forms
Section IX. Annex to the Particular Conditions - Contract Forms Table of Forms Notification of Award Contract Agreement Performance Security Advance Payment Security Retention Money Security - 2 - Notification
More informationPLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations.
PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to February 1, 2004. It is intended for information and reference purposes
More informationSECTION 12 CONSTRUCTION SECURITY
SECTION 12 CONSTRUCTION SECURITY 10% Security Prior to the Division of Highways issuing a notice to proceed for the construction of subdivision streets the Developer shall first post with the Division
More informationBROKER LICENSE INDIVIDUAL REQUIREMENTS. The following are the basic requirements an applicant must satisfy to obtain a broker license:
COMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT BUREAU OF PRODUCER LICENSING 1300 Strawberry Square Phone (717) 787-3840 Harrisburg, PA 17120 Fax (717) 787-8553 BROKER LICENSE INDIVIDUAL REQUIREMENTS
More informationMedical Licensing Information, Application Requirements and refunds For Students & Supplies
APPLICATION PACKET Full Review & New Schools MINNESOTA OFFICE OF HIGHER EDUCATION PRIVATE CAREER SCHOOL LICENSE Enclosed are the application forms you must complete to apply for a Minnesota Private Career
More informationWest Virginia State Tax Department Nonresident Contractors Sales And Use Tax Requirements
West Virginia State Tax Department Nonresident Contractors Sales And Use Tax Requirements Publication TSD-330 (Rev. January 2012) Nonresident contractors are required to register with the State of West
More informationPAYMENT BOND. KNOW ALL MEN BY THESE PRESENTS that we,, as Principal (the Principal ), and, a corporation organized
PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS that we,, as Principal (the Principal ), and, a corporation organized and existing under laws of the of, with a principal office at, and authorized to do business
More informationDEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS
STATE OF MINNESOTA DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS RE: CONSUMER SMALL LOAN LENDER ACT Application may be made on the attached forms for a Consumer Small Loan Lending license pursuant
More informationAPPLICATION FOR LICENSE TO OPERATE ALARM BUSINESS AS DEFINED BY CHAPTER 720, ST. LOUIS COUNTY REVISED ORDINANCES
APPLICATION FOR LICENSE TO OPERATE ALARM BUSINESS AS DEFINED BY CHAPTER 720, ST. LOUIS COUNTY REVISED ORDINANCES 1. of Applicant (Corporation if a Corporation, Parent Corporation if Different from Subsidiary,
More informationNotary Public Guide FUNCTION
Notary Public Guide FUNCTION A notary public acts as an official witness to the identity of a person who comes before the notary. A notary is authorized to witness or attest a signature, administer an
More informationCOMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT REGISTRATION REQUIREMENTS FOR PURCHASING GROUPS
COMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT REGISTRATION REQUIREMENTS FOR PURCHASING GROUPS REGISTRATION REQUIREMENTS FOR PURCHASING GROUPS The Commonwealth of Pennsylvania appreciates your interest
More informationOFFICE OF THE ATTORNEY GENERAL SDCL 37-34-3 BUYING CLUB BOND INSTRUCTIONS
OFFICE OF THE ATTORNEY GENERAL SDCL 37-34-3 BUYING CLUB BOND INSTRUCTIONS No bond form other than the one provided by the Office of Attorney General (hereinafter ATG) will be approved by the Attorney General
More informationFORM A: BID (See B8) 1. Contract Title BEAUJOLAIS COULEE AND BALDRY CREEK FLOOD RESTORATION WORKS
Bid Opportunity No. 656-2011 Page 1 of 8 FORM A: BID (See B8) 1. Contract Title BEAUJOLAIS COULEE AND BALDRY CREEK FLOOD RESTORATION WORKS 2. Bidder Name of Bidder Usual Business Name of Bidder as it appears
More informationSCHEDULE 14. Part 1 Performance Bond PERFORMANCE BOND NO.
SCHEDULE 14 BONDS Part 1 Performance Bond PERFORMANCE BOND NO. $ KNOW ALL PERSONS BY THESE PRESENTS, that Contractor s Name as Principal ( the Principal ) and Surety / Insurance Company name and address,
More informationSTATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT
STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR A LICENSE UNDER THE CALIFORNIA FINANCE LENDERS LAW (CFLL) WHO IS REQUIRED TO OBTAIN A FINANCE LENDERS
More informationPINE HILL BOARD OF EDUCATION Pine Hill, New Jersey 08021 REQUESTS FOR PROPOSALS OCCUPATIONAL THERAPY SERVICES NOTICE OF SOLICITATION
PINE HILL BOARD OF EDUCATION Pine Hill, New Jersey 08021 REQUESTS FOR PROPOSALS OCCUPATIONAL THERAPY SERVICES NOTICE OF SOLICITATION Notice is hereby given that pursuant to the provisions of N.J.S.A. 19:44A-20,
More information